Register as a C³ Syndicate

Thank you for choosing to register as a Syndicate of the Country Cover Club.

Please complete in the form below; except for the Syndicate Name, which will appear on Member's certificates, the information supplied is for internal use only and will not be made public. Fields marked with * are required.

After submission a member of the team will contact you within 2 working days to confirm your syndicate or to request further information.

If you encounter any difficulty with this form, please contact us and we'll be happy to help.

Syndicate Details
Syndicate Contact
Submit Application